Mouth Cancer Levels ‘Almost Double’

The levels of mouth cancer in the UK have doubled in the past 20 years and have grown by a third in the past decade, a new report has revealed.

A study by the Oral Health Foundation found that in 2021 a total of 8,864 people were diagnosed with the disease. This was 34 per cent higher than the figure ten years ago and 103 per cent more than 20 years ago. 3,034 people died of the disease in the UK last year, 20 per cent more than five years ago.

Chief executive of the foundation Dr Nigel Crater said this upward trend made mouth cancer exceptional compared with other types of cancer, where the instances were dropping.  

Mouth cancer has historically been associated with smoking and excess drinking, but as these have been declining factors in public health in recent years they cannot be the cause of the increase.  

Dr Carter explained: “Traditional causes like smoking and drinking alcohol to excess are quickly being caught by emerging risk factors like the human papillomavirus (HPV).” He added: ”The stigma around mouth cancer has changed dramatically. It’s now a cancer that really can affect anybody.”

Because HPV has proved such a malign influence and led to a rise in cases even as other causes have diminished, the organisation has declared November to be Mouth Cancer Action Month.

Over the course of the month the organisation will be highlighting the dangers of the disease, which is usually only detected at stage 4. Describing the cancer as “devastating” in its effects, Dr Carter remarked:  ”It changes how somebody speaks, it makes eating and drinking more difficult, and often changes a person’s physical appearance.”  

An early Sheffield cancer diagnosis may make a huge difference in outcomes for patients who take steps to get checked out as soon as the first possible signs of disease appear, enabling treatments to begin sooner. Mouth Cancer Action Month aims to raise awareness to get more people to speak to their GP or dentist if they have any signs of it.

Early mouth cancer indicators can include inflamed patches that look like persistent mouth ulcer, or unusual lumps or swellings, either in the mouth or on the neck. A third of mouth cancers are found on the tongue and just under a quarter are found on the tonsils. The lips, gums and inside of the cheeks are also possible sites for the disease.

Another form of oral cancer to look out for is tongue cancer. In a feature on one patient’s experience of the disease to mark Mouth Cancer Action Month, Dentistry Magazine told the story of patient Barbara Fountain, who had a persistent ulcer on her tongue and was ultimately referred by her dentist to the local hospital for checks.

This led to her diagnosis and subsequent treatment, with the disease being caught at stage one and being excised with surgery. However, it had been found early enough not to require chemotherapy or radiotherapy.

Ms Fountain subsequently set up ‘Young Tongues’, a support group for young people with experience of tongue cancer.

Research Team Develop Cervical Cancer Test More Accurate Than Previous Methods

A research team has published a paper detailing a more accurate test for cervical cancer that could help private oncology clinics and hospitals diagnose patients earlier, which is one of the most important factors for the success of medical interventions.

The study, published in Genome Medicine, outlines a study by UCL and the University of Innsbruck on over a thousand women of a test that picks up DNA markers that signpost potential cell changes in the next four years.

The team had shown its potential use in spotting ovarian and breast cancer, but when used to test for cervical cancer, it found that the test performed better than currently used testing methods for smears.

Previously, the primary way in which cervical cancer was screened was by testing for human papillomavirus (HPV), one of the primary causes of cervical cancer, as well as several other cancers and health conditions such as warts or verrucas.

However, with a widespread vaccination programme widely implemented in the UK that has vastly reduced the number of HPV cases, cytology screening tests more focused on current and potential future cell changes are key to ensuring potential cancers are diagnosed and treated as early as possible.

The HPV vaccination fundamentally changed the rates of cervical cancer, with a study funded by Cancer Research UK finding that cervical cancer rates had reduced by 87 per cent in women who were first offered the vaccine when they were 12 and 13 years old (now in their mid-20s).

This dramatic change, much higher than even the study’s sponsor expected, has led to suggestions that there could be a fundamental change in smear test screening programmes from every five years to potentially twice in a lifetime.

This has, consequentially, potentially created a need for different screening methods for detecting cervical cancer in a world where people have fewer smear tests in their lives.

The team’s primary method focuses on DNA methylation, a process where cells read parts of DNA that do not change the DNA sequence, which is part of many natural processes but also is part of the process of cells becoming cancerous.

These factors can be affected by carcinogenic factors such as pollution or smoking, which in turn change how the cell behaves.

By looking into methylations, the team are closer to predicting the risk of people developing cancer as well as if they already have cancers that have not been detected via other methods.

The new method is specific in its approach, which not only improves accuracy but avoids the risk of over-treatment in cases where such an intense, invasive approach is unnecessary and causes more harm than good.

As well as this, rather than requiring multiple tests, the pap smear can be used to test three major cancers as opposed to requiring separate tests for ovarian and breast cancers, although other specific tests will be undertaken if there are any concerns.

The next step will be to expand the test beyond the 1254 women tested and see how effective the test is in a real-world scenario to ensure that the unprecedented success seen so far will continue at a larger scale.

 

RNA Cancer Treatment ‘Breakthrough’ Revealed

A ground-breaking treatment that could be the first to stop cancer cells from functioning by suppressing the actions of Midkine, a protein that is associated with the growth of cancers. 

Roquefort Therapeutics has just revealed results of its research into the use of a new splice-switching RNA drug that can change the messenger RNA of Midkine. This weakens the Midkine and also creates a kind of non-functioning shortened Midkine, impairing its capacity to help cells grow.

The results of the work have been presented at the 29th European Society of Gene & Cell Therapy (ESGCT) in Edinburgh. 

Chief executive officer at Roquefort Alan Reginald said: “For the first time, an RNA medicine has been shown to switch-off functional Midkine production in cancer cells.” 

He added: “This proof-of-concept study highlights the potential for a new class of medicines blocking Midkine production to target some of the most difficult to treat cancers.”

Patients seeking private cancer treatment may be keen to see if they can access drugs to carry out this function. Although any new treatment will need to be trialled and approved for use in the UK by bodies like the National Institute for Health and Clinical Excellence, some may be keen to speak to an oncologist about the possibility at the earliest opportunity.

In the case of Roquefort’s RNA therapy, the pre-trials were completed with promising results earlier this year, with a matter of patent application being submitted in March

Previous research has highlighted the importance of the link between RNA and cancer, establishing that RNA suppression can impede cancer cell growth. However, while there have been various attempts to develop drugs that produce this effect over the past decade, until now these have not been successful.  

Among the benefits of using RNA treatments in this way is that it will be a lot less toxic than cancer treatments such as chemotherapy and radiotherapy.

What Was The Biggest Breakthrough In Cancer Treatment?

Over the past two centuries, cancer care has evolved from a range of experimental treatments based on our limited collective knowledge of the disease to highly advanced targeted treatments based around early diagnosis and intervention.

There is a wide range of cancer treatments approved for use in the UK, including targeted drugs, advanced radiotherapy and more traditional surgical interventions. Each of these can and has saved countless lives and the discovery of each could be considered a vital breakthrough in the history of cancer treatment.

In 1965, the breakthrough that made modern chemotherapy possible happened, thanks to the work of Emil Freireich, Emil Frei and James Holland proposed a treatment system similar to that used by antibiotic therapy.

Instead of using just one medication, using multiple drugs simultaneously would not only be more effective but reduce the risk of resistance.

 This led to the development of POMP, which included the use of methotrexate, vincristine, 6-mercaptopurine and prednisone, which turned acute lymphoblastic leukaemia into a disease that can be cured in children.

Once the principle was established, other combinations were developed, creating the field of polychemotherapy that is the most dominant form of chemotherapy used today, and forms the basis of nearly all successful chemotherapy treatments.

It has allowed for chemotherapy to not only be more effective at curing cancer entirely, but also be used in combination with other treatments such as radiotherapy and surgery, or be used to eliminate the risk of cancer returning.

Terminal Cancer Patient From Sheffield Forefronts Campaign

A Sheffield resident with terminal cancer has become the face of a national fundraising campaign to raise awareness and funding for a charity.

The BBC reported Emma Fisher has been chosen to model for Adidas, as part of a Breast Cancer Now initiative. 

Speaking with the news provider, the 41-year-old, who has incurable breast cancer, said: “Sometimes you just have to walk up a big hill to remember you’re alive, feel the cold wind on your face, laugh at your dogs, look around and think how grateful you are to still be able to get up that hill.”

Emma was first diagnosed with breast cancer six years ago after discovering a painful lump. She underwent a lumpectomy, chemotherapy, and radiotherapy to remove the tumour. However, after a snowboarding accident in 2018, she found out the cancer had spread to her bones and lymph nodes. 

Despite enduring several treatments and being on a “multitude of medications”, the tumours continued to spread. 

Director of fundraising, communications and engagement at Breast Cancer Now Rachael Franklin added the campaign has been made with Adidas to raise awareness of the benefits of the outdoors and keeping active among patients. 

Keeping breast cancer in the news is essential, as the charity recently revealed that 41 per cent of women in the UK do not check their breasts for signs of cancer at least once every three months. 

What’s more, over a quarter of those who do check their breasts do not feel confident they would even be able to feel a lump or notice a change. 

 

For breast cancer treatments in Sheffield, take a look here. 

Research Indicates Air Pollution Link To Cancer

New research has indicated that air pollution may have a larger role than previously thought in directly causing lung cancer.

Scientists at the Crick Institute, conducting work funded by Cancer Research UK, have produced evidence that exposure to high levels of particulate matter (PM2.5) contained in urban air pollution can trigger the growth of genetic mutation-carrying cells in the lungs. This helps explain how some people can still get lung cancer even if they have never smoked.

The study of data from over 400,000 people found that other cancers also appear more likely to occur among those exposed to high levels of PM2.5, which suggests the risks are greater for people living in urban areas with lower air quality.

Around one in ten UK lung cancer cases occur as a result of air pollution, which contributes to 6,000 deaths from the disease among non-smokers every year. Exposure to PM2.5 is estimated to have caused 300,000 lung cancer deaths around the world in 2019.

Lead investigator in the study Professor Charles Swanton said the study had “fundamentally changed” how people who have never smoked but get lung cancer are viewed. 

He noted: “Cells with cancer-causing mutations accumulate naturally as we age, but they are normally inactive,” but added that the research has “demonstrated that air pollution wakes these cells up in the lungs, encouraging them to grow and potentially form tumours”.

Professor Swanton said if a way can be found to stop cancerous cells growing in response to air pollution, this would reduce cases.

The knowledge of the link may also help with early diagnosis and treatment, if people who live in areas with high air pollution are tested more regularly.

According to government figures, the highest levels of PM2.5 are in London, the south east and south west, but levels across the UK have been falling since 2010.

Scientists reveal how air pollution can cause lung cancer in people who have never smoked | Crick

Concentrations of particulate matter (PM10 and PM2.5) – GOV.UK (www.gov.uk)

What Are The Different Grades Of Cancer Diagnosis?

One of the aspects of cancer that can cause a considerable amount of unease, concern and distress is that there are many different types of cancer that function differently, originate in different parts of the body and sometimes require different types of cancer care to treat.

According to the NHS, there are over 200 types of cancer, and at different stages, they can have different effects, which are often described in terms of stages and grades.

Stages of cancer are typically used to describe levels of progression, with stage 0 meaning that a cluster of abnormal cells has not become large enough to be described as cancerous, and stage 4 meaning that the cancer has spread to other organs and parts of the body.

Cancer grading, on the other hand, focuses on the cancer cells themselves and how abnormal they are compared to normal cells in the body, as well as how quickly they are growing.

Both of these factors are important, as the growth rate impacts how quickly the cells are growing in comparison to typical cells in the body and the risk at which they could overwhelm and progress to more advanced stages.

As well as this, the abnormality of cancer tissues can affect the inherent structure of the tissues and thus their stability and functionality.

Grading is sometimes known as differentiation for this reason; the cancer cells are developed and organised differently from normal cells and are at the greatest risk of causing harm.

Grading is done on a numbered scale, typically from Grade 1 (with cancer cells looking similar to normal cells) to Grade 3 and beyond (cancer cells looking particularly abnormal and are growing at a fast rate).

With some types of cancer, it cannot be easy to tell how differentiated the cells are, and typically these will be assessed as either Grade X, GX or an undetermined grade, which needs to be carefully monitored as the cancer’s nature becomes clearer.

What Are The Different Stages Of Cancer?

One of the complexities of cancer care is that the effects of a growth, lesion or tumour can vary significantly depending on where it originated, how long it has been there and how far it has spread.

Regardless of the specific type of cancer, a general rule is that the sooner it is diagnosed the more treatments that are available and the greater the likelihood that they will be effective.

One particular aspect of a cancer diagnosis that can often be confusing is the idea of stages, such as when Sky Sports presenter Jo Wilson announced that she has been diagnosed with Stage 3b cervical cancer, she along with other people following her story were unsure as to what that meant initially.

To help with this, ease fears and ensure people know what a diagnosis means for them, here is a brief guide on cancer stages.

Why Are They Used?

There are two main staging systems used; there is the traditional numbered stage system as well as the TNM system. Most doctors will use both depending on the particular type of diagnosis, as the latter can make more complex cancers easier to understand.

Both types are used to signify the size of growths and tumours and whether they have spread, as this can affect the types of treatments that can be used and their effectiveness.

For example, if a tumour is localised in one place, it can be removed with surgery or a targeted radiotherapy system such as stereotactic radiosurgery.

The Stage Numbers

The most common way in which cancers are described is in a series of stages from 0 to 4, traditionally written down in Roman numerals.

These highlight a cancer’s behaviour, although exactly what that can mean in terms of treatment options depends on the type of cancer that is diagnosed.

Typically, however, the stages mean the following:

  • Stage 0: Often known as ‘in situ neoplasm’ or ‘carcinoma in situ’, this is an abnormal cluster of cells that have developed somewhere in the body that could potentially develop into cancer but have not yet currently done so nor are they large enough to form a tumour. In many cases, a carcinoma will never develop into cancer and, in certain organs, are too small to even be picked up by a scan.
  • Stage I: The first stage of cancer usually indicates a cancer that is contained within the organ it originated in, is small in size and has not spread.
  • Stage II: At this stage, the cancerous tumour has grown, but has not spread into surrounding tissues, although it can, in some cases, have spread into nearby lymph nodes depending on the cancer type.
  • Stage III: By this stage, the cancer has grown larger and cancer cells may have started to spread into lymph nodes or surrounding tumours.
  • Stage IV: Also known as metastatic cancer, stage IV cancer has spread to other organs

The TNM System

Alongside the standard numbering system, there is an additional staging system that can quickly and precisely be used to document the progression of cancer known as TNM, or Tumour, Node, Metastasis.

  • Tumour is used to document the size of the cancer and how far it has spread and uses the same 1-4 stage system as the numerical system.
  • Node is used to document if the cancer has spread to nearby lymph nodes, graded by intensity from 0 (no lymph node cancer cells) to 3 (a significant amount of cancer cells in lymph nodes).
  • Metastasis is the medical term used when a cancer spreads, and in the TNM system is a simple binary code; 0 means the cancer has not spread and 1 means that it has.

Public Figures Who Helped Raise Cancer Awareness

At the start of September, millions of people in the UK were deeply saddened when the news broke that BBC newsreader Bill Turnbull has tragically passed away from prostate cancer.

One of the most familiar faces of morning television, Bill Turnbull’s legacy is far-reaching, but one of the most important parts of this as eloquently put by Prostate Cancer UK is his honest discussion of the diagnosis, his advocacy for cancer care and his support for the many men facing this condition.

As oncology research improves and the potential outcomes for people who are diagnosed with cancer early are increasingly positive, one of the most difficult challenges is to raise awareness to ensure that people get tested when they are younger and more regularly once they pass middle age.

Being diagnosed with cancer at an early stage can help significantly improve outcomes, and the people who have public platforms that are brave enough to share their stories, raise awareness and advocate and encourage people to get tested do more good than they perhaps even realise.

Here are just a few of those brave faces.

Kylie Minogue

The Australian pop singer and actor who kept capturing people’s hearts first on the soap opera Neighbours, as well as two successful pop runs and a starring role in the cult classic Street Fighter (the last role of Raul Julia, who was also tragically taken from us by cancer), entered a battle of her own in 2005.

At the age of 36, Kylie was diagnosed with breast cancer and once she had entered remission she started to talk openly about her experiences with her diagnosis and later her chemotherapy treatment.

This public discussion of her treatment and the effect it had inspired young women to get regular cancer checks, described by the Cultural Minister of France as the “Kylie effect”.

Olivia Newton-John

The late Olivia Newton-John was an advocate for many incredible causes, but the one that she dedicated a lot of her songwriting ability and energy towards was breast cancer.

After her initial diagnosis in 1992, Ms Newton-John wrote a confessional album about it entitled Gaia: One Woman’s Journey, chronicling her emotional journey through a particularly difficult period in her life.

For the rest of her life, she would advocate for breast cancer research organisations, although tragically her cancer would return in 2013 and later in 2017.

Mr T

The ever-enigmatic fool-pitier that was Mr T was diagnosed with T-Cell Lymphoma, battling the illness for several years before finally entering remission.

Given that Mr T has an inimitable philosophy when looking at practically everything in life, he joked that the type of cancer had his name on it, before writing a currently unpublished book called Cancer Saved My Life: Cancer Ain’t For No Wimps.

He also encouraged people not to give up and, in his typical style, “make death find” them and live their life.

Rod Stewart

One of the best-selling singers of all time, Rod Stewart was diagnosed with thyroid cancer in 2001, manifesting in vocal cord tumours that threatened his career and his life.

He managed to pull through, relearn how to sing and has since actively raised funds for The City Of Hope Foundation and has had a second battle, this time with Prostate cancer in 2017.

Bill Turnbull ‘Saved Lives’ Through Prostate Cancer Awareness

The death of TV presenter Bill Turner from prostate cancer at the age of 66 has saddened many, but the publicity his campaigning on awareness about the disease has had on outcomes for other patients has been crucial in saving the lives of other men, the head of Prostate Cancer UK has said.

Chief executive if the charity Laura Kirkby said: “Thousands and thousands of men have come forward as a result of him helping us raise awareness of Prostate Cancer UK – and him just telling his story.”

She added: “He has saved lives – 11,500 men die in the UK every year of prostate cancer and he would have helped some people come earlier [for testing] so that they could have avoided that.”

Mr Turnbull, who was first diagnosed in 2017, became an ambassador for the charity and helped publicise early signs of the disease, which has led to Ms Kirby crediting him with prostate cancer now being the most commonly diagnosed form of cancer in the UK.

She added that the highest risks are among men of any race over the age of 50, black men over the age of 45 and anyone who has a family history of the condition.

Ms Kirby said Mr Turbull was “passionate” about telling men to get checked because his diagnosis had come too late to prevent the onset of the disease. As prostate cancer is often asymptomatic in its early stages, it is easy for patients to go through life unaware of the problem.

The comments made by Ms Kirby were echoed by NHS chief executive Amanda Pritchard. She said: “Bill’s openness in speaking about his prostate cancer encouraged thousands more men to come forward for help earlier than they may have done otherwise.”

Overall, no fewer than one in eight men will contract prostate cancer, making it potentially a huge killer. 

Early signs can include difficulty urinating or emptying the bladder, a need to go more frequently, a weakflow of urine and blood in urine or semen. This do not always mean prostate cancer is the cause; a benign enlarged prostate can cause these problems without actually leading to cancer.

The campaign led by Bill Turnbull has not been the only one running this year aiming to increase awareness about prostate cancer.

Another featured the ‘Blue for Bob’ appeal staged on the Saturday of this year’s cricket Test match at Edgbaston when England played India in July, when fans would wear blue and remember the life of Bob Willis, the former England and Warwickshire player who died from the condition in 2019.

As well as increasing awareness, the day was set up to help raise money for the Bob Willis Fund, which has worked to create new means of testing for prostate cancer, often designed to be very easy and user friendly to help men, who can show a notorious reluctance to go to the doctor.

A key concern for the fund is that, as yet, there is still no one single test reliable enough to form the basis of a national screening programme – something the body aims to change.

‘Brave’ Bill Turnbull saved lives, says head of Prostate Cancer UK (msn.com)

‘Brave’ Bill Turnbull saved lives, says head of Prostate Cancer UK | Glasgow Times

Prostate cancer – Symptoms – NHS (www.nhs.uk)

Blue for Bob Day | The Bob Willis Fund